ČESKÁ UROLOGIE / CZECH UROLOGY – 3 / 2018

158 VIDEO The patient was followed up for two years after the procedure, and since no recurrence of the primary disease was found, he was indicated to laparoscopic repair of parastomal hernia. The procedure was started with introduction of a capnoperitoneum in the medioclavicular line in the left hypochondrium. Under visual control, two other ports were placed in the anterior axil‑ lary line at the level of the umbilicus and in the hypogastrium. First, omental and bowel loop adhe‑ sions were broken down in addition to the original minilaparotomy. Next, adherent loops were re‑ moved from the parastomal hernia and the conduit was released. Parietex © hernia mesh was placed in the abdominal wall around the conduit and secured with Securastrap © staples. Results: There were no complications during the procedure, it lasted 90 minutes, and blood loss was negligible. The postoperative condition required no ICU stay; since postoperative day 1, mobilization and switching to solid food was ini‑ tiated. On postoperative day 3, the catheter was removed from the ostomy site and, after bowel passage had been restored, the patient was dis‑ charged to home care on postoperative day 5. Conclusion: Laparoscopic approach appears to be a suitable alternative for the management of parastomal hernia with Bricker conduit. KEY WORDS Ureteroileostomy, parastomal hernia, laparoscopic correction. LITERATURA 1. López‑Cano M, Pereira Rodriguez JA. Parastomal hernia prevention with mesh in the context of lapa‑ roscopic approach: an opinion based on current literature. Front Surg. 2018; 5: 19. 2. Näsvall P, Rutegård J, Dahlberg M, Gunnarsson U, Strigård K. Parastomal hernia repair with intrape‑ ritoneal mesh. Surg Res Pract. 2017: 8597463. 3. Yang X, He K, Hua R, Shen Q, Yao Q. Laparoscopic repair of parastomal hernia. Annals of translational 2017; 5(3): 45. 4. DeAsis FJ, Lapin B, Gitelis ME, Ujiki MB. Current state of laparoscopic parastomal hernia repair: a meta‑analysis. World J Gastroenterol. 2015; 21(28): 8670–8677. Soutěž ČUS o nejlepší video publikované v časopise Česká urologie Soutěž ČUS Všechna videa publikovaná v časopise Česká urologie v roce 2018 budou do soutěže zařazena automaticky Podmínkou zařazení je, že první autor bude urolog Vítězné práce budou vyhlášeny na Výroční konferenci ČUS 2019 Následně budou výsledky zveřejněny v časopisu Česká urologie a na webových stránkách ČUS 2018